Blood Vessels Flashcards

1
Q

Describe the structure of a blood vessel

A

tunica interna: an endothelium that lines the interior of blood vessel and is exposed to blood. It secretes chemicals for dilation or constriction

tunica media: middle layer that is composed of smooth muscle, collagen, and elastic tissue. This layer strengthens vessels, regulates vessel diameter, and prevents blood pressure from bursting them

tunica externa: outer layer that consists of loose tissue that merges with other vessels, nerves and organs. This anchors the vessels

Vaso vasorum: small vessels that supply blood to larger vessels

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2
Q

Describe the types of arteries

A

Elastic arteries: consist of lots of elastic connective tissue and a major pressure reservoir. Ex: aorta and common carotid arteries

Muscular arteries: thick tunica media (smooth muscle) that goes to organs and muscle groups. Ex: brachial, femoral, and renal arteries

Arteriole arteries: big tunica media to lumen size ratio (muscular for its size). It controls the perfusion of bloof to specific organs

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3
Q

Describe the types of capillaries

A

Continuous capillaries: overlapping endothelial cells for diffusion of solutes. Ex: skeletal muscle, tissue, and blood/brain barrier

Fenustrated capillaries: pores present on endothelial cells and it acts as a filtration membrane. Ex: capillaries of kidneys

Sinusoid capillaries: large holes on endothelial cells that are widely spaced for large molecules to enter/exit. Ex: liver, red bone marrow.

*Capillary beds are networks of 10-100 capillaries

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4
Q

Describe veins

A

-veins have greater capacity for blood volume than arteries
-thinner walls, flacid, less muscular, and has elastic tissue.
-steady blood flow
-lower blood pressure
-converges to large veins until it reaches the heart

Varicose veins are veins that have been overstretched

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5
Q

What is the general route taken by blood?

A
  1. Begin at heart
  2. arteries
  3. arterioles
  4. capillaries (1 set)
  5. venules
  6. veins
  7. heart
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6
Q

Briefly describe circulatory routes

A

-venous anastomosis: most common where one vein empties into another

-arterial anastomosis: two arteries merge and provides alternative(collateral) routes of blood supply to tissue. This is coronary circulation and common around joints.

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7
Q

Explain the relationship between blood pressure, resistance, and flow

A

-blood supply is both the terms of flow and perfusion
-Blood flow: amount of blood flowing through an organ, tissue or vessel (ml/min)
-perfusion: flow per given volume or mass of tissue in a time (ml/min/g)

Cardiac output is equal to total blood flow at rest

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8
Q

How is blood pressure expressed?

A

Blood pressure is the force that blood exerts against vessel walls

Systolic pressure: peak arterial blood pressure taken at ventricular contraction (120)
Diastolic pressure: minimum arterial blood pressure taken at ventricular contraction between beats (75)

Normal Value: 120/75 mmHg

Blood pressure is determined by cardiac output, blood volume and resistance to flow

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9
Q

What are three factors that determine resistance to blood flow?

A

Peripheral resistance is the opposition to flow that blood encounters away from the heart

Blood viscosity: RBC count and albumin concentration elevates it the most; it can increase or decrease viscosity flow

Vessel length: the farther it flows through the vessel, the slower it flows. Pressure and flow decline with distance

Vessel Radius: most powerful influence over flow and the only way of controlling resistance.
-this is done through vasoreflexes that causes changes in vessel radus.
-Vasoconstriction: smooth muscle of tunica media contracts
_Vasodilation: relaxation of smooth muscle which allows blood pressure to increase vessel

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10
Q

How does vessel diameter influence blood pressure and flow?

A

The purpose of dilation and constriction is to control blood pressure and reroute blood from one body region to another. This is the general method of raising or lowering blood pressure through the body.

Ex:
-exercise dilates arteries in lungs, heart and muscles and vasoconstriction occurs in kidneys and digestive tract
-sleeping after eating causes vasoconstriction due to redirection of blood from lower limbs (raises BP) to intestinal arteries.

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11
Q

Local control influence on vessel diameter

A

Autoregulation is the ability of tissues to regulate their own blood supply. Vasoactive chemicals are substances secreted by platelets, endothelial cells and perivascular tissue to stimulate vasomotor responses

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12
Q

Neural Control Influence on Vessel Diameter

A

Central and autonomic immune systems exert control. Vasomotor center of medulla exerts sympathetic control over blood vessels.

Barioreflexes govern short term regulation of BP.

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13
Q

Hormonal Control Influence on Vessel Diameter

A

Angiotension 2 is a hormone that is a vasoconstrictor. It raises BP, promotes sodium water retention in kidneys, and increases blood pressure volume

Atrial natiuretic peptide increases sodium excretion in urine and decreases blood volume, blood pressure and causes vasodilation.

Anti-diuretic hormone promotes water retention, increases BP and is also a vasoconstrictor

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14
Q

How do materials from blood get to surrounding tissues?

A

Capillary exchange is a 2 way movement of fluid across capillary walls.

Diffusion: substances move across a capillary wall through filtration pores and intracellular clefts. This is passive transport. Ex: glucose and oxygen leave blood while CO2 and waste diffuse into blood

Filtration and Reabsorption: fluid filters out of the arerial end of capillary and osmotically reenters at the venous end so that materials get to the cell and metabolic wastes leave

-85% of fluid reenters vein and 15% of fluid enters lymphatic capillary

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15
Q

How can capillaries give off and reabsorb fluids?

A

Blood hydrostatic pressure drives fluid out of capillary where the arterial end has a bigh blood pressure and it is lower on the venous end.

Colloid osmotic pressure draws fluid into capillaries through a concentration gradient and results from albumins being more present in blood.

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16
Q

What are the causes of edema (excess fluid buildup)?

A
  1. increased capillary filtration, kidney failure and histamine release
  2. reduced capillary absorption: hypoproteinemia, liver disease, dietary protein deficiency
  3. obstructed lymphatic drainage: lymph fluid builds up and needs to be removed
17
Q

How does venous return occur?

A

The blood flows back to the heart through:

-pressure gradient: blood pressure is most important in venous return

-gravity: drains blood from head and neck

-skeletal muscle pump: contracting muscle squeezes blood out of compressed vein

-thoracic (respiratory) pump: as we inhale, the thoracic cavity expands and pressure decreases while abdominal pressure increases resulting in the blood being forced upwards

-cardiac suction: the expanding atrial space forces blood to move

18
Q

How is physical activity important in venous return?

A

The heart beats faster and harder resulting in increased cardiac output and blood pressure.

The vessles of skeletal muscles, lungs and heart dilate and increase flow

Venous pooling occurs with inactivity and blood cannot go up; pressure decreases

19
Q

What causes circulatory shock, or when cardiac output isn’t enough for metabolic activity?

A
  1. cardiogenic shock: inadequate pumping of heart
  2. Low venous return: low cardiac output because not enough blood is returning to heart.
    -this can be caused by hypovolemic shock (loss of blood volume)
    -obstructed venous return shock (something compressing vein)
    -venous pooling (vascular shock)
20
Q

Describe the stages of shock.

A
  1. Compensated shock is when homeostatic mechanisms (the body) can recover itself
    ex: fainting and laying down results in gravity returning the blood to the brain
  2. Decompensated shock: the body cannot recover and it is life threatening; it can damage cardiac tissue and brain tissue